Universidad Nacional Mayor de San Marcos, Av Carlos Germán Amezaga # 375, Cercado de Lima, Lima, 15081, Peru.
Centro Nutricional Allikay, Calle de las Artes Norte 269A, San Borja Lima, 15037, Peru.
F1000Res. 2021 Jul 7;10:545. doi: 10.12688/f1000research.53564.2. eCollection 2021.
COVID-19 pandemic has been challenging for health services and systems around the world, including Peru. A viable alternative in the telemedicine field to guarantee patient nutritional care is telenutrition. Telenutrition involves the interactive use of electronic information and telecommunications technologies to implement the nutrition care process with patients at a remote location. Information regarding the experience with this methodology and its potential effect on patients' nutritional goals, does not exist in Peru. The aim of the study was to report the effect of the evaluation type (telenutrition vs. in-person) on weight, body mass index (BMI), waist circumference (WC) and relative fat mass (RFM) in overweight and obese adult patients. This retrospective study included 100 eligible patients in a single nutritional center, from January 2019 to March 2021. Telenutrition and in-person continuous variables were compared with independent sample t-test or U Mann-Whitney test. There were significant differences in weight, BMI, WC and RFM by the end of follow-up period, in both evaluation modalities. Patients on the telenutrition group had a mean decrease of 6.80 ± 4.87 cm in WC, whereas the mean difference observed for the in-person group was 6.74 ± 4.55 cm. There were no significant differences in the changes of any anthropometric parameters when comparing both systems. Reductions were observed in weight (5.93 ± 3.88 kg vs. 4.92 ± 3.29 kg), BMI (2.23 ± 1.39 kg/ m2 vs. 1.83 ± 1.23 kg/ m2), WC (6.80 ± 4.87 cm vs. 6.74 ± 4.55 cm) and RFM (2.43 ± 1.78 vs. 2.63 ± 1.73) in telenutrition and in-person evaluation, respectively by the end of the follow-up period. Telenutrition may be regarded as an alternative to in-person evaluation offering anthropometric changes and nutritional goals similar to those reported through the in-person modality, in overweight and obese adult people.
COVID-19 大流行对全球卫生服务和系统构成了挑战，包括秘鲁。远程医疗领域中一种可行的替代方案是远程营养，它涉及使用电子信息和电信技术与远程患者互动，以实施营养护理过程。秘鲁尚未有关于这种方法的经验及其对患者营养目标潜在影响的信息。本研究旨在报告评估类型（远程营养与面对面评估）对超重和肥胖成年患者体重、体重指数（BMI）、腰围（WC）和相对脂肪量（RFM）的影响。这是一项回顾性研究，纳入了 2019 年 1 月至 2021 年 3 月期间在单一营养中心的 100 名合格患者。采用独立样本 t 检验或 U 曼-惠特尼检验比较远程营养和面对面连续变量。在随访期末，两种评估方式的体重、BMI、WC 和 RFM 均有显著差异。远程营养组的 WC 平均减少 6.80±4.87cm，而面对面组的平均差异为 6.74±4.55cm。比较两种系统时，任何人体测量参数的变化均无显著差异。体重（5.93±3.88kg 比 4.92±3.29kg）、BMI（2.23±1.39kg/m2 比 1.83±1.23kg/m2）、WC（6.80±4.87cm 比 6.74±4.55cm）和 RFM（2.43±1.78 比 2.63±1.73）均有下降。远程营养和面对面评估的随访期末分别观察到这些变化。远程营养可作为面对面评估的替代方案，在超重和肥胖成年人中提供类似的人体测量变化和营养目标。
